OHSU Graduate Studies

Applicant Evaluation Form

Office of Graduate Studies – Applicant Evaluation Instructions

Thank you for volunteering to evaluate an applicant to Oregon Health & Science University.
This evaluation will remain confidential and will not be shared with the applicant you are evaluating.
Please rank the applicant in relevance to his/her peers, and note the comparison group you are using:
(i.e. undergraduate students, graduate students, specific age group, employees, other).
If you have any questions, please contact the Office of Graduate Studies at lorgrad@ohsu.edu or 503-494-6222.

Applicant's Information

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Last Name:

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First Name:

Other Name:

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Graduate Program Applied to:

Applicant's Evaluation

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Please rank the applicant in relevance to his/her peers, and note the comparison group you are using.
Top 1%
Top 5%
Top 10%
Top 25%
Other

If other please specify %:

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Comparison Group:

Please provide the following information in your letter of recommendation:
1. How long have you know the applicant?
2. How do you know the applicant - as a research supervisor, advisor, teacher, or other interaction?
3. Describe the applicant’s background and potential for future success in this field.
4. Describe the following aspects of the applicant:
a. Intellectual abilities including creativity and analytical skills.
b. Motivation and enthusiasm.
c. Ability to communicate orally and in writing
d. Maturity and ability to work with others.
5. Any additional comments you may have.

Please submit the file in PDF format.

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Browse to select the pdf file:

Evaluator's Information

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Name and Title (MD, PhD)

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Institution:

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Email Address:

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Phone:

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If further questions about the applicant arise, may a member of the admissions committee contact you?
Yes, I agree to be contacted regarding this applicant.
No, I don't agree to be contacted regarding this applicant.

How may we contact you? (check all that apply))
Phone.
Email.

I hereby certify that the information I am submitting is complete and accurate. I understand that checking "I Agree"
below acts as my signature on this form.